Wisconsin > Statewide > Circuit Court > General
Reminder Notice GF-156 - Wisconsin
| Reminder Notice Form. This is a Wisconsin form and can be used in General Circuit Court Statewide . |
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This form is only available from the CCAP system used by the circuit courts. American LegalNet, Inc. www.USCourtForms.com STATE OF WISCONSIN CIRCUIT COURT SAMPLE COUNTY For Official Use Only Case Caption Date of Birth: mm-dd-yyyy This is a blank line Reminder Notice BLANK SPACE BLANK SPACE Case No: 2003TR123456 Blank Cell DEBTOR NAME SECONDARY ADDRESS PRIMARY ADDRESS CITY . WI .. 54321 Blank Line Blank Line Blank Line You have been ordered to pay the following: Blank Line Ct Descr. 1 Charge Description Citn. Violation Disposition Sched Type. Sched Desc. Description Amount $ XXX.XX Citation No. mm-dd-yyyy mm-dd-yyyy Both fine and costs Schedule Blank Line . . . Total Amount Assessed: Payments And Adjustments: Total Amount Due: $ XXX.XX. $ XX.XX. $ XXX.XX. Blank Line The Total Amount Due was due on December dd, yyyy. If payment is not made immediately, one or more of the following enforcement actions will be taken: Blank Line Return this notice with payment to: Cty. Courthouse Secondary Address Primary Address City, WI..54321-1234 · · · · · arrest and commitment to the county jail. This is a blank line suspension of your driving privileges for up to two years. This is a blank line a civil judgment entered against you. This is a blank line referral to a collection agency. This is a blank line certification to the Department of Revenue for interception of your tax refund. This is a blank line Sample County Circuit Court -Date: mm-dd-yyyy GF-156(CCAP) 12/03 Reminder Notice This form may not be modified. It may be supplemented with additional material. Page 1 of 1 American LegalNet, Inc. www.USCourtForms.com
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